Every finding on record at Lhcg Lxxviii, LLC

Jeff Davis MD Homecare is in compliance with federal emergency preparedness requirements.

Recertification Survey

Onsite supervisory visit every 14 days CFR(s): 484.80(h)(1)(i) If home health aide services are provided to a patient who is receiving skilled nursing, physical or occupational therapy, or speech-language pathology services, a registered nurse or other appropriate skilled professional who is familiar with the patient, the patient's plan of care, and the written patient care instructions described in §484.80(g), must make an onsite visit to the patient's home no less frequently than every 14 days. The home health aide does not have to be present during this visit. This ELEMENT is not met as evidenced by: Based on record review and interview, the agency failed to ensure the PT (Physical Therapist) made an onsite visit for Patient #2, who was receiving home health aide (HHA) services, no less frequently than every 14 days for 1 (#2) out of a total of 13 sampled patients. Patient #2. Review of the patient’s electronic clinical record revealed the start of care date was 2/18/2023. The patient’s diagnoses included Fracture of Left Femur and Peripheral Vascular Disease. The certification period reviewed was 4/19/2023 to 6/17/2023. Review of the patient's POC (Plan of Care) for certification period 4/19/2023 to 6/17/2023 revealed the following orders: HHA 1wk8 (home health aide visit one time a week for eight weeks). Also, the POC revealed the following orders: PT effective 4/23/2023 1wk8 (Physical Therapy visits effective the week of 4/23/2023 one time a week for eight weeks). The POC revealed the patient was only receiving HHA and PT services. Review of the patient's Visit Note Report for the HHA revealed the aide was performing the visits with the patient as ordered. There was no evidence found from 5/16/2023 to 6/5/2023, (21 days) that PT made a supervised visit for the home health aide between this time frame. On 6/6/2023 at 10:55 a.m., an interview was conducted with S2PT and after a review of the patient's PT visit note dated 5/29/2023, she verified that there was no evidence that she made a supervisory visit for the HHA on that date. On 6/6/2023 at 11:20 a.m., an interview was conducted with S1ED (Executive Director) and after a review of the patient’s electronic clinical records, she verified that there was no evidence the PT made a supervisory visit between 5/16/2023 to 6/5/2023. S1ED confirmed the PT did not make a supervisory visit for the HHA no less frequently than every 14 days.